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Table Of Contents:
What’s included: Ready-to-study anatomy, physiology and pathology notes of the relevant clinical obstetrics topics
presented in succinct, intuitive and richly illustrated downloadable PDF documents.
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OBSTETRIC DEFINITIONS
EMBRYONIC SEXUAL DEVELOPMENT
REVIEW OF BASIC FEMALE REPRODUCTIVE ANATOMY
PREGNANCY
MATERNAL PHYSIOLOGIC ADAPTATIONS TO PREGNANCY
EMERGENCY CONTRACEPTION & ABORTION
RHESUS DISEASE
ANTEPARTUM CARE
o NAUSEA & VOMITING IN PREGNANCY
o PRENATAL SCREENING TESTS
o ANTENATAL FOETAL SURVEILLANCE
OBSTETRICAL HAEMORRHAGE
o PLACENTA PREVIA
o PLACENTAL ABRUPTION
o VASA PREVIA
OBSTETRIC COMPLICATIONS
o CHORIOCARCINOMA (MALIGNANT)
o ECTOPIC PREGNANCY
o HYDATIDIFORM MOLES – (PARTIAL & COMPLETE)
o PRETERM LABOUR
o PREMATURE RUPTURE OF MEMBRANES (PROM)
o POST-TERM PREGNANCY
o INTRAUTERINE FOETAL DEATH
o INTRAUTERINE GROWTH RESTRICTION
o MACROSOMIA
o POLYHYDRAMNIOS
o OLIGOHYDRAMNIOS
MALPRESENTATION
HYPERTENSION IN PREGNANCY
NORMAL LABOUR AND DELIVERY
INDUCTION OF LABOUR (IOL)
NEONATAL ADAPTATIONS TO EXTRAUTERINE LIFE
o INFANT RESPIRATORY DISTRESS
o NEONATAL JAUNDICE & KERNICTERUS
COMPLICATIONS OF LABOUR AND DELIVERY
o SHOULDER DYSTOCIA
o UMBILICAL CORD PROLAPSE
o UTERINE RUPTURE
o CHORIOAMNIONITIS
OPERATIVE OBSTETRICS
PUERPERAL COMPLICATIONS
o POST PARTUM HAEMORRHAGE (PPH)
RETAINED PLACENTA
POSTPARTUM CARE
POSTNATAL MENSTRUATION & CONTRACEPTION
THE 3 POSTNATAL MOOD DISORDERS
OBSTETRIC DEFINITIONS
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OBSTETRIC DEFINITIONS
Births, Miscarriages & Abortions
Abortion
Birth
Miscarriages
Neonatal Death
Still Birth
TOP – Termination of
Pregnancy
Viability
Termination of pregnancy (Spontaneous/Intentional) @ <20wks gestation OR <500g
Complete expulsion of the foetus >20wks OR >500g (Irrespective of placenta)
Missed Miscarriage: Asymptomatic Intrauterine Foetal Death (IUFD)
Threatened Miscarriage: Uterine bleeding +/- Contractions (Note: WITHOUT Labour)
Inevitable Miscarriage: Uterine bleeding + Contractions + Dilation (Ie: WITH labour)
Incomplete Miscarriage: An ACTIVE miscarriage with retained products
Complete Miscarriage: An INACTIVE miscarriage with complete expulsion
Early Neonatal Death: Death of baby within 1wk of birth
Late Neonatal Death: Death of baby within 4wks of birth
A “Birth” (Ie: >20wks &/or >500g) of a baby showing no signs of life.
(As opposed to Live Birth – Has spontaneous breathing/heartbeat/movement)
Medical TOP – Stat Dose Mifepristone/RU486 → 48hrs later – Vaginal Misoprostol
Surgical TOP – Dilation & Curettage / Manual evacuation of foetus.
Gestation of >24wks
Or birthweight of >500g
Timing:
Trimesters
Pre-Term
Term
Post-Term
Perinatal Period
T1: 0-12wks
T2: 12-28wks
T3: 28-40wks
Pre-Term: <37wks
Term: 37-42wks
Post Term: >42wks
Time within 28days of a “Birth”. (Ie: Does NOT include Abortions)
Counting Babies:
Gravidity
Parity
Twins – Chorionicity &
Amnionicity
Number of pregnancies (including current pregnancy)
(Nulligravida – Never been pregnant)
(Primigravida – First pregnancy)
Number of births @ >20wks gestation (Including Stillborns)
(Nullipara – Never carried a pregnancy to >20wks)
(Primipara – 1 previous “birth”)
(Multipara - >1 previous “births”)
(Grand-Multipara - >5 previous “births”)
(Great-Grand-Multipara - >10 previous “births”)
Chorionicity = # of Placentas (Monochorionic = Single; Dichorionic = Double; etc)
Amnionicity = # of Amnionic Sacs (Monoamnionic = Single; Diamnionic = Double)
Antenatal Screening Anomalies:
AFI – Amniotic Fluid
Index
Sum of the amniotic fluid depth (cm) of the largest vertical pockets in each of the 4
uterine quadrants.
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(N=8-24cm)
https://www.stuvia.com/en-us/doc/3107057/obstetrics-notes-l-complete(<8= Oligohydramnios = Not Enough Amniotic Fluid)
guide-2023
(>24= Polyhydramnios = Too Much Amniotic Fluid)
GBS
Group B Streptococcus
GDM
Gestational Diabetes Mellitus